Selecting Optimal Hemodialysis Catheters: Material, Design, Advanced Features, and Preferences

Tal, Michael; Ni, Nina

doi:10.1053/j.tvir.2008.09.006

Cited by 36 publications

(31 citation statements)

References 50 publications

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“…This design is thought to prevent clot formation ( Figure 1A). 10,17 In contrast, the relatively older step-tip catheter is composed of a soft, silicone material and is designed with a staggered tip to provide a 2.5 cm separation between the arterial lumen and venous tip ( Figure 1B). …”

Section: Description Of Hemodialysis Cathetersmentioning

confidence: 99%

A retrospective study of palindrome symmetrical-tip catheters for chronic hemodialysis access in China

Mao

Zhang

et al. 2015

Renal Failure

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Hemodialysis catheters remain necessary for long-term vascular access in patients for whom arteriovenous access may be problematic or impossible. Developments in catheter design have improved long-term catheter functionality, and reduced the rate of infection and complications associated with their use. This retrospective study of 284 cases of chronic catheterization in 271 patients treated between 2009 and 2011 using Tal Palindromeä symmetrical-tip (N ¼ 118) or Quintonä Permcathä step-tip (N ¼ 166) hemodialysis catheters evaluates the efficacy and the safety of symmetrical-tip dialysis catheters for chronic hemodialysis, compared with a step-tip catheter. Measurements of catheter performance included mean catheter dwell time, incidence of low blood flow, and rates of infection and catheter-related blood stream infection (CRBSI). The symmetrical-tip catheter had a significantly longer mean dwell time compared with the step-tip catheter; 329.4 ± 38.1 versus 273.1 ± 25.4 d (p50.05). In addition, the rate of occurrence of low blood flow per 1000 catheter days was lower for the symmetrical-tip compared with the step-tip catheter; 1.13 versus 6.86 (p50.01). The symmetrical-tip catheter was also associated with a lower incidence of complications; the rates of infection (0.28 vs. 0.78; p50.01) and CRBSI (0.15 vs. 0.44; p50.01) were lower compared with those for step-tip catheters, and catheter removal occurred less often for the symmetrical-tip catheter (8% vs. 16%; p50.05). The symmetrical-tip hemodialysis catheter was associated with a longer mean dwell time, lower incidence of low blood flow, and lower infection rate compared with the step-tip catheter.

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Section: Description Of Hemodialysis Cathetersmentioning

confidence: 99%

A retrospective study of palindrome symmetrical-tip catheters for chronic hemodialysis access in China

Mao

Zhang

et al. 2015

Renal Failure

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“…In the acute hemodialysis setting, the risk for infection is higher in the jugular position for patients with a low body mass index (Ͻ24.2) and in the femoral position for patients with a high body mass index (Ͼ28.4) (147). The type of catheter material and the characteristics of the catheter surface influence the probability of biofilm formation and subsequent infection, with Teflon, polyurethane, silicone, and carbothane being the preferred materials (148,149). A rigorous hand hygiene procedure before catheter manipulation is vital (148,150), and the use of maximal sterile barrier precautions during insertion of the catheter may reduce the risk for subsequent infections (151).…”

Section: Catheter Handlingmentioning

confidence: 99%

Staphylococcus aureus Infections in Hemodialysis

Vandecasteele

Boelaert

Vriese

2009

Clinical Journal of the American Society of Nephrology

113

103

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Staphylococcus aureus is a formidable pathogen that has the ability to colonize approximately half the dialysis population without any sign of disease but is also capable of causing wound and tissue infections; fulminant septicemia; and chronic, difficult-to-eradicate and often foreign body-related infections. S. aureus is the main cause of infectious morbidity and mortality in hemodialysis patients. This review highlights the importance of S. aureus infections in daily hemodialysis practice from a clinical viewpoint, starting from some key issues in the pathogenesis of staphylococcal infections.

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“…), CVP monitörizas-yonu, diyaliz, sık kan örneklenmesi, sık kan/ kan ürünleri transfüzyonu, uzun dönemli iv antibiyotik kullanımı, birden fazla sayıda sıvı ya da kemoterapi infüzyonu, kullanılabilecek periferik ven olmaması ve TPN verilmesi gibi durumlarda tercih edilir. Bu gereçlerin hemen kullanılabilme, yüksek akım, hipertonik solüs-yonların dilüsyonu, kolay erişim, hastaneye yatmaksızın bakım olanağı avantajları arasın-da olup daha invaziv, potansiyel olarak daha fazla komplikasyon ve ağrı gibi dezavantajları bulunmaktadır [7,8].…”

Section: Santral Venöz Erişimde Kullanılan Kateter Ve Port Materyalleriunclassified

“…İdeal kateter non-trombojenik, yumuşak, solid, endotele hasar vermeyen, pirojensiz, iç çapı geniş, enfeksiyona dirençli, radyoopak, dış konnektörleri transparan, lüerli konnektörleri bulunan, kimyasal inertia (eylemsizlik) özelliği olan, dirençli (traksiyon, yırtılma, abrazyon, etilen oksit, iyonizan radyasyon, ışık, ısı ve yaşlanmaya), akut/kronik toksisitesi olmayan, biodegradabl ve allerjik olmayan, organik sıvılarda çözünmeyen, ilaçlarla etkileşime girmeyen, doku ile uyumlu (kan, doku ve hücrelerle) ve karsinojen olmayan kateterdir ki bütün bu özellikleri taşıyan tek bir kateter henüz yoktur [3,[7][8][9][10][11][12][13][14][15].…”

Section: Santral Venöz Erişimde Kullanılan Kateter Ve Port Materyalleriunclassified

Gecici /Kalici Venöz Kateterler ve Port Yerlestirme

Kutlu¹

2015

Trd Sem

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Selecting Optimal Hemodialysis Catheters: Material, Design, Advanced Features, and Preferences

Cited by 36 publications

References 50 publications

A retrospective study of palindrome symmetrical-tip catheters for chronic hemodialysis access in China

A retrospective study of palindrome symmetrical-tip catheters for chronic hemodialysis access in China

Staphylococcus aureus Infections in Hemodialysis

Gecici /Kalici Venöz Kateterler ve Port Yerlestirme

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